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5 E Cumberland Rd Altamont IL 62411-1271 | |
(618) 483-6151 | |
(618) 483-6153 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 5 E Cumberland Rd, Altamont, Illinois |
Authorized Official Name and Position | Eugene P Dust (PRESIDENT OF LLC) |
Authorized Official Contact | 2173475917 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1207 Network Centre Dr Ste 3 Effingham IL 62401-4632 Ph: (217) 347-2707 | 5 E Cumberland Rd Altamont IL 62411-1271 Ph: (618) 483-6151 |
NPI Number | 1770771024 |
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Provider Enumeration Date | 10/11/2007 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
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1770771024 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |